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1770807802
TARA ROSE COOK
INDIANAPOLIS, IN
NPI
1770807802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36001466A)
Enumeration Date
2010-03-18
Last Update Date
2010-03-18
Business Address
-- TARA ROSE COOK LAT, ATC, CEAS
3921 E 75TH ST
INDIANAPOLIS, IN 46240-3607
Phone number: 317-902-4441
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Mailing Address
-- TARA ROSE COOK LAT, ATC, CEAS
3921 E 75TH ST
INDIANAPOLIS, IN 46240-3607
Phone number: 317-902-4441
Copy
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